Individual
CARLA ANN CURTIS-KLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1235 8TH ST, LAS VEGAS, NM 87701-4219
(505) 425-6788
(505) 425-5408
Mailing address
PO BOX 158, ECFH CREDENTIALING DEPT, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00874
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000-PA18
NM PA LICENSE
NM
Enumeration date
11/01/2006
Last updated
07/11/2016
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